go back

Nebraska rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.18 / $75.18 / $75.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.18 / $75.18 / $97.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $113.98 / $115.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $129.68 / $129.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $129.68 / $199.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.07 / $129.30 / $608.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.57 / $58.81 / $98.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.30 / $129.68 / $176.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.82 / $155.43 / $267.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.00 / $88.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $58.81 / $87.13